MRS. Jacqueline Mood Bolster, RPT

NPI #1023262425 in Burlington, Vermont

Provider Information

NPI Number: 1023262425
Entity Type: Individual
Name: MRS. Jacqueline Mood Bolster, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 11 KILBURN ST
City: Burlington
State: Vermont
ZIP Code: 05401-8705
Phone: (802) 878-8352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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